Wellpoint Essential Catastrophic (+ Incentives)
Catastrophic · HMO · WellPoint · Texas
At age 40 it costs between $397.16 and $487.34 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 47501TX0040006 |
|---|---|
| Insurer | WellPoint |
| Metal level | Catastrophic |
| Plan type | HMO |
| Deductible (individual) | $10,600 |
| Deductible (family) | $21,200 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | $40 |
| Specialist visit | No Charge after Deductible |
| Emergency room | No Charge after Deductible |
| Inpatient stay | No Charge after Deductible |
| Generic drugs | No Charge after Deductible |
| Preferred brand drugs | No Charge after Deductible |
| Specialty drugs | No Charge after Deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-476-1458 · TTY 1-711-000-0000 |
Where it is sold, and what it costs there
30 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Bexar County | $310.77 | $352.72 | $397.16 | $555.04 | $843.43 |
| Comal County | $310.77 | $352.72 | $397.16 | $555.04 | $843.43 |
| Guadalupe County | $310.77 | $352.72 | $397.16 | $555.04 | $843.43 |
| Medina County | $310.77 | $352.72 | $397.16 | $555.04 | $843.43 |
| Wilson County | $310.77 | $352.72 | $397.16 | $555.04 | $843.43 |
| Collin County | $322.01 | $365.48 | $411.53 | $575.11 | $873.94 |
| Dallas County | $322.01 | $365.48 | $411.53 | $575.11 | $873.94 |
| Ellis County | $322.01 | $365.48 | $411.53 | $575.11 | $873.94 |
| Hunt County | $322.01 | $365.48 | $411.53 | $575.11 | $873.94 |
| Kaufman County | $322.01 | $365.48 | $411.53 | $575.11 | $873.94 |
| Rockwall County | $322.01 | $365.48 | $411.53 | $575.11 | $873.94 |
| Jefferson County | $333.78 | $378.84 | $426.57 | $596.13 | $905.88 |
| Orange County | $333.78 | $378.84 | $426.57 | $596.13 | $905.88 |
| Montgomery County | $338.02 | $383.65 | $431.99 | $603.70 | $917.39 |
| Walker County | $338.02 | $383.65 | $431.99 | $603.70 | $917.39 |
| Caldwell County | $338.59 | $384.30 | $432.72 | $604.72 | $918.93 |
| El Paso County | $338.73 | $384.46 | $432.90 | $604.97 | $919.31 |
| Hidalgo County | $340.83 | $386.84 | $435.58 | $608.72 | $925.01 |
| Denton County | $342 | $388.17 | $437.08 | $610.81 | $928.19 |
| Johnson County | $342 | $388.17 | $437.08 | $610.81 | $928.19 |
| Tarrant County | $342 | $388.17 | $437.08 | $610.81 | $928.19 |
| Cameron County | $343.41 | $389.77 | $438.88 | $613.33 | $932.01 |
| Harris County | $351.40 | $398.84 | $449.09 | $627.60 | $953.70 |
| Brazoria County | $353.67 | $401.42 | $451.99 | $631.65 | $959.86 |
| Fort Bend County | $353.67 | $401.42 | $451.99 | $631.65 | $959.86 |
| Matagorda County | $353.67 | $401.42 | $451.99 | $631.65 | $959.86 |
| Crosby County | $381.33 | $432.81 | $487.34 | $681.06 | $1,034.93 |
| Lubbock County | $381.33 | $432.81 | $487.34 | $681.06 | $1,034.93 |
| Lynn County | $381.33 | $432.81 | $487.34 | $681.06 | $1,034.93 |
| Terry County | $381.33 | $432.81 | $487.34 | $681.06 | $1,034.93 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.